Ingalls Memorial Hospital


About the Facility

CMS Certification Number (CCN)
14T191
Ownership Type
Physician
CMS Region
Chicago
Certification Date
Address
One Ingalls Drive
Phone Number
(708) 915-4686

Facility Medical Condition Statistics

All other conditions
148
Brain disease or condition (non-traumatic)
114
Brain injury (traumatic)
12
Hip or femur fracture
34
Hip or knee replacement, amputation or other bone or joint condition
45
Nervous system disorder (excluding stroke)
19
Spinal cord disease or condition (non-traumatic)
32
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
91

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.027
SIR 95% confidence interval - upper limit
2.664
Comparative performance category
No Different than the National Benchmark
Catheter days
832
Predicted number of infections (B)
1.851
Number of infections reported (A)
1
SIR (A/B)
0.540
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
466
Denominator
467
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
10.4
Denominator
395
Average observed change score
10.7
Change in patients ability to move around
Average risk-adjusted change score
30.0
Denominator
395
Average observed change score
29.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
167
Denominator
395
Facility rate
42.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
221
Denominator
395
Facility rate
55.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
467
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.008
SIR 95% confidence interval - upper limit
0.816
Comparative performance category
Better than the National Benchmark
Patient days
10,079
Predicted number of infections (B)
6.047
Number of infections reported (A)
1
SIR (A/B)
0.165
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
52
Number of health care workers
56
Rate of flu vaccination
92.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
76
Number of eligible stays
585
Unadjusted potentially preventable readmission rate
12.99
Risk-standardized potentially preventable readmission rate (RSRR)
9.88
Lower limit of the 95% confidence interval on the RSRR
8.36
Upper limit of the 95% confidence interval on the RSRR
11.65
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
33
Number of eligible stays
651
Unadjusted potentially preventable readmission rate
5.07
Risk-standardized potentially preventable readmission rate (RSRR)
4.54
Lower limit of the 95% confidence interval on the RSRR
3.48
Upper limit of the 95% confidence interval on the RSRR
6.38
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
300
Number of eligible stays
528
Observed discharge to community rate
56.82
Risk-standardized discharge to community rate
63.19
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.80
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.16
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
548
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
466
Denominator
467
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
464
Facility observed rate
2.2
Facility risk-adjusted rate
2.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
46
Number of health care workers
48
Rate of COVID-19 vaccination
95.8